NPI | 1437695327 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVIN DEAN WAHLEN Physician/Owner 575-935-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 349) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2021-05-11 |